Viscosupplementation Market
By Type;
Single Injection and Multi InjectionBy Source;
Animal and Non-AnimalBy Application;
Knee Osteoarthritis, Hip Osteoarthritis and OthersBy End-User;
Hospitals & ASCs, Specialty Clinics and OthersBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa and Latin America - Report Timeline (2021 - 2031)Viscosupplementation Market Overview
Viscosupplementation Market (USD Million)
Viscosupplementation Market was valued at USD 3,936.51 million in the year 2024. The size of this market is expected to increase to USD 6,999.72 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 8.6%.
Viscosupplementation Market
*Market size in USD million
CAGR 8.6 %
| Study Period | 2025 - 2031 |
|---|---|
| Base Year | 2024 |
| CAGR (%) | 8.6 % |
| Market Size (2024) | USD 3,936.51 Million |
| Market Size (2031) | USD 6,999.72 Million |
| Market Concentration | Medium |
| Report Pages | 390 |
Major Players
- Fidia Farmaceutici s.p.a
- Ferring Pharmaceuticals
- Anika Therapeutics Inc
- Bioventus LLC
- Sanofi SA
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Viscosupplementation Market
Fragmented - Highly competitive market without dominant players
The viscosupplementation market is expanding as more individuals seek effective solutions for joint degeneration without resorting to surgery. As osteoarthritis becomes more common due to aging and lifestyle factors, over 55% of affected individuals are turning to viscosupplements for relief. These injections are favored for their ability to ease joint pain and improve mobility with minimal procedural risk.
Dominance of Hyaluronic Acid-Based Formulations
A significant portion of the market is driven by hyaluronic acid-based injections, known for enhancing joint lubrication and reducing inflammation. These options account for nearly 60% of viscosupplementation treatments, reflecting their strong therapeutic profile and widespread acceptance in clinical practice. Their compatibility with early-stage management has further encouraged adoption.
Product Advancements Driving Market Appeal
Innovations in viscosupplementation delivery systems, such as single-dose and multi-dose options, are helping tailor treatment to individual needs. More than 30% of recent product developments emphasize ease of use and improved outcomes, making them attractive to healthcare providers and patients alike. These advancements are elevating both treatment efficiency and user experience.
Preventive Joint Care Influencing Market Growth
With awareness campaigns highlighting the importance of early orthopedic intervention, more patients are proactively seeking viscosupplementation. Currently, about 45% of individuals experiencing joint discomfort are opting for these treatments as a preventive measure. This shift toward early action is fostering steady growth in the market.
Viscosupplementation Market Key Takeaways
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The increasing prevalence of degenerative joint conditions—particularly Osteoarthritis—and an aging global population are driving demand for the Viscosupplementation market as non-surgical options become more broadly sought.
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Shift in treatment preference toward single-injection formulations is significant, with a major proportion of newly adopted use captured by this more patient-friendly regimen.
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Production and formulation innovation—such as non-animal-derived hyaluronic acid and cross-linked compounds—are emerging as strategic competitive levers to improve outcomes and ensure ethical sourcing.
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Outpatient care settings, including ambulatory surgical centres and orthopaedic clinics, are becoming key delivery channels, reflecting a move toward cost-efficient, minimally invasive care pathways.
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Regional dynamics show mature markets maintaining leadership via established infrastructure, while growth momentum lies in Asia-Pacific and other emerging regions with expanding healthcare access.
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High treatment cost, uneven insurance coverage, and variable clinical guideline support continue to act as restraints, moderating the overall market expansion.
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Key industry players are focusing on partnerships and R&D collaboration to innovate enhanced formulations and strengthen distribution networks for greater market consolidation.
Viscosupplementation Market Key Takeaways
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The growing prevalence of Osteoarthritis and expanding geriatric population are fueling steady demand for viscosupplementation as a minimally invasive joint treatment option.
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The shift toward single-injection formulations is reshaping product preference, with this segment capturing an estimated 43–46% share, driven by improved treatment compliance and simplified clinical workflows.
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Regional growth is strongest in Asia Pacific, which accounts for nearly half of global adoption, while North America remains the revenue leader amid increasing procedure volumes and patient awareness.
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Persistent challenges such as reimbursement variability, competition from pharmacologic alternatives, and limited awareness in emerging areas continue to restrict uniform market penetration.
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Technological innovation is accelerating through advances in cross-linked hyaluronic acid, development of combination therapies, and optimized molecular weight formulations to enhance treatment durability.
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Expansion of outpatient care centers and ambulatory clinics is transforming care delivery, emphasizing procedure efficiency, improved patient experience, and reduced hospital dependency.
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Strategic opportunities lie in emerging economies, where localization of reimbursement models, physician education initiatives, and infrastructure upgrades will determine long-term market scalability.
Viscosupplementation Market Recent Developments
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In December 2021, Avanos Medical acquired OrthogenRx, adding its hyaluronic acid viscosupplement therapies to Avanos’s chronic pain portfolio. The acquisition expands treatment options for osteoarthritis and strengthens the company’s presence in pain management solutions.
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In August 2021, Seikagaku Corporation launched HyLink, a high-viscosity, single-injection hyaluronic acid viscosupplement developed to improve joint lubrication and provide pain relief for patients with knee osteoarthritis.
Viscosupplementation Market Key Takeaways
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Adoption is being driven by an aging population and rising chronic joint conditions, creating sustained demand for aging population, osteoarthritis, and minimally invasive treatment alternatives.
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Competitive dynamics favor larger players who can scale manufacturing and channel reach while niche innovators compete on differentiated formulations—expect intensified consolidation, growth of biosimilars, and emphasis on premium offerings.
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Reimbursement variability remains the single biggest barrier to uniform uptake; strategic focus on demonstrating cost-effectiveness and aligning with payers will unlock reimbursement variability, expanded access, and value-based pricing initiatives.
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Innovation pipeline momentum — led by sustained investment in longer-acting agents and delivery platforms — positions the sector to shift from single-injection models to longer-acting formulations, combination therapies, and advanced delivery technology.
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Physician behavior and care pathways are shifting toward outpatient settings; success will depend on training, referral patterns, and clear procedural benefits to drive specialist uptake, scalable procedural training, and an outpatient shift.
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Geographic growth is uneven—mature markets remain core while emerging markets offer upside; currently, urban centers capture the majority of procedures (estimated >50%) so market entrants should prioritize emerging markets, dense urban centers, and streamlined regulatory pathways.
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High-impact strategic plays include payer and provider partnerships, generation of real-world evidence to support reimbursement, and patient-centric services that improve adherence—focus on partnerships, real-world evidence, and patient-centric programs.
Viscosupplementation Market Segment Analysis
In this report, the Viscosupplementation Market has been segmented by Type, Source, Application, End-User and Geography.
Viscosupplementation Market, Segmentation by Type
The Viscosupplementation Market by type is divided into Single Injection and Multi Injection formulations. This segmentation highlights the different treatment approaches adopted in managing osteoarthritis and related joint disorders. The market is influenced by patient compliance, cost-effectiveness, and product efficacy, with single injections gaining traction for convenience and reduced hospital visits, while multi-injection options remain significant in cases requiring sustained therapy.
Single Injection
The Single Injection segment is expanding due to the increasing preference for minimally invasive procedures and shorter treatment durations. These products reduce the need for repeated clinical visits, thus enhancing patient adherence. Manufacturers are focusing on developing high-molecular-weight hyaluronic acid formulations that deliver extended joint lubrication and pain relief in a single dose, supporting their growing adoption, particularly in North America and Europe.
Multi Injection
The Multi Injection segment continues to hold a substantial market share owing to its proven therapeutic benefits and consistent pain-relief outcomes. Despite the inconvenience of multiple visits, these injections are often preferred in severe cases of osteoarthritis where a gradual release mechanism ensures longer-term effectiveness. Increasing availability of multi-dose brands and expanding clinical validation are expected to sustain demand in Asia Pacific and emerging markets.
Viscosupplementation Market, Segmentation by Source
Based on source, the market is bifurcated into Animal and Non-Animal origins. The transition from animal-derived to non-animal-based viscosupplements is being driven by concerns over biocompatibility, allergenicity, and the need for vegan-certified medical products. This trend aligns with the growing emphasis on ethically sourced and safer materials in pharmaceutical and biomedical applications.
Animal
The Animal-derived segment primarily includes hyaluronic acid extracted from rooster combs. It remains relevant due to its established clinical efficacy and proven pain reduction outcomes. However, regulatory restrictions and patient sensitivity issues are gradually curbing its growth, prompting manufacturers to improve purification technologies to minimize immunogenic reactions.
Non-Animal
The Non-Animal segment, produced via bacterial fermentation, is witnessing robust growth as it eliminates the risk of cross-species contamination and aligns with vegan-friendly preferences. The increasing approval of synthetic and biofermented formulations in major markets such as the U.S. and Europe is accelerating adoption, expected to reach over 60% share by 2030 as innovation in recombinant HA production advances.
Viscosupplementation Market, Segmentation by Application
By application, the Viscosupplementation Market is categorized into Knee Osteoarthritis, Hip Osteoarthritis, and Others. Knee applications dominate due to the high prevalence of degenerative joint disease among aging populations. Technological advances in image-guided injection and improved hyaluronic acid viscosity profiles are supporting broader clinical use across multiple joints.
Knee Osteoarthritis
The Knee Osteoarthritis segment represents the largest market share, driven by a high global incidence rate and increased awareness of non-surgical treatments. Viscosupplementation offers a crucial therapeutic bridge before surgical intervention, improving joint mobility and reducing pain progression. With ongoing R&D in sustained-release formulations, this segment continues to exhibit significant growth potential.
Hip Osteoarthritis
The Hip Osteoarthritis segment is expanding steadily with growing research supporting viscosupplementation effectiveness in hip joints. Challenges such as injection precision and anatomical accessibility are being addressed through ultrasound-guided techniques. The adoption rate is increasing in developed markets, particularly within specialty orthopedic clinics.
Others
The Others category includes shoulder, ankle, and small joint osteoarthritis applications. These emerging areas are gaining attention due to improvements in formulation stability and delivery accuracy. Market penetration remains modest but is expected to accelerate with new approvals and supportive clinical outcomes.
Viscosupplementation Market, Segmentation by End-User
By end-user, the market is divided into Hospitals & ASCs, Specialty Clinics, and Others. The growth across these settings reflects the diversification of care delivery models and the expansion of outpatient-based treatments. The presence of advanced injection infrastructure and skilled professionals is shaping adoption patterns globally.
Hospitals & ASCs
Hospitals & Ambulatory Surgical Centers (ASCs) account for a major share due to the availability of multidisciplinary care and reimbursement support. The growing shift toward day-care procedures has bolstered viscosupplementation usage in ASCs, where efficiency and cost optimization are prioritized.
Specialty Clinics
Specialty Clinics are emerging as key growth hubs driven by the demand for personalized therapy and enhanced patient experience. Orthopedic and rheumatology-focused clinics are integrating viscosupplementation alongside physical therapy programs, resulting in higher treatment satisfaction rates and repeat visits.
Others
The Others segment includes small healthcare facilities and sports rehabilitation centers that are incorporating viscosupplementation into recovery protocols. These settings play a vital role in early intervention therapies for athletes and active individuals seeking non-surgical pain management options.
Viscosupplementation Market, Segmentation by Geography
In this report, the Viscosupplementation Market has been segmented by Geography into five regions: North America, Europe, Asia Pacific, Middle East and Africa and Latin America.
Regions and Countries Analyzed in this Report
North America
North America dominates the viscosupplementation market owing to advanced healthcare infrastructure, favorable reimbursement policies, and the high prevalence of osteoarthritis among aging populations. The U.S. leads with widespread product approvals and extensive clinical usage across hospital and outpatient settings.
Europe
Europe maintains strong growth supported by government healthcare programs and early adoption of non-surgical joint therapies. Countries like Germany, France, and the UK are driving innovation in biofermentation-based viscosupplements and supporting sustainable sourcing initiatives.
Asia Pacific
Asia Pacific is witnessing the fastest growth due to a rising geriatric population and increased awareness of joint preservation therapies. Expanding medical tourism and the availability of cost-effective procedures further enhance market penetration, particularly in China, Japan, and India.
Middle East & Africa
The Middle East & Africa region is experiencing gradual expansion with increasing healthcare investments and focus on orthopedic treatment modernization. Local collaborations and imports of branded viscosupplement products are supporting early-stage market development.
Latin America
Latin America is emerging as a promising market with growing adoption in countries like Brazil and Mexico. Rising healthcare expenditure and public-private partnerships are enabling broader access to viscosupplementation therapy for patients with chronic joint pain.
Viscosupplementation Market Forces
This report provides an in depth analysis of various factors that impact the dynamics of Viscosupplementation Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Comprehensive Market Impact Matrix
This matrix outlines how core market forces Drivers, Restraints, and Opportunities affect key business dimensions including Growth, Competition, Customer Behavior, Regulation, and Innovation.
| Market Forces ↓ / Impact Areas → | Market Growth Rate | Competitive Landscape | Customer Behavior | Regulatory Influence | Innovation Potential |
|---|---|---|---|---|---|
| Drivers | High impact (e.g., tech adoption, rising demand) | Encourages new entrants and fosters expansion | Increases usage and enhances demand elasticity | Often aligns with progressive policy trends | Fuels R&D initiatives and product development |
| Restraints | Slows growth (e.g., high costs, supply chain issues) | Raises entry barriers and may drive market consolidation | Deters consumption due to friction or low awareness | Introduces compliance hurdles and regulatory risks | Limits innovation appetite and risk tolerance |
| Opportunities | Unlocks new segments or untapped geographies | Creates white space for innovation and M&A | Opens new use cases and shifts consumer preferences | Policy shifts may offer strategic advantages | Sparks disruptive innovation and strategic alliances |
Drivers, Restraints and Opportunity Analysis
Drivers
- Growing geriatric population worldwide
- Advancements in Viscosupplement Formulations
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Increasing Preference for Minimally Invasive Treatment Options - A significant driver of the viscosupplementation market. Patients with knee osteoarthritis increasingly seek alternatives to joint replacement surgery that involve less pain, lower risk, and faster recovery. Viscosupplementation, which involves injecting hyaluronic acid directly into the joint, offers a non-surgical solution that effectively improves joint lubrication and reduces pain and stiffness.
The treatment's low invasiveness makes it highly attractive to elderly patients or those with medical conditions that make them unfit for surgery. It also enables quicker return to daily activities, which enhances patient satisfaction. Additionally, healthcare providers are recommending viscosupplements earlier in the treatment continuum, further boosting their adoption.
Increased awareness about early intervention and preventive care in managing osteoarthritis is also supporting the trend. As patient preferences shift toward less disruptive treatments, viscosupplementation presents a compelling choice, especially in outpatient and ambulatory care settings.
This trend is further strengthened by the growing availability of advanced hyaluronic acid formulations that offer longer-lasting relief with fewer injections, making the procedure even more appealing from both a clinical outcome and patient compliance perspective.
Restraints
- Limited Reimbursement Coverage
- Reimbursement limitations in some regions
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High Cost of Viscosupplement Products - Despite their clinical benefits, many hyaluronic acid-based injections are priced at a premium, which can limit accessibility, particularly in cost-sensitive regions. Patients often require multiple injections over a treatment course, which adds to the overall financial burden.
In regions where insurance reimbursement is limited or absent, the out-of-pocket expense discourages patients from opting for viscosupplementation. Even in developed healthcare systems, reimbursement policies vary, and insurers may question the cost-effectiveness of repeated treatments, especially when long-term benefits are inconclusive in severe osteoarthritis cases.
The presence of alternative therapies such as NSAIDs, physical therapy, and corticosteroid injections, which are often more affordable, further hinders the wide-scale adoption of viscosupplementation. These treatments are usually the first line of defense, relegating viscosupplementation to second-line or optional treatment status.
Without significant pricing reforms or broader reimbursement support, the high cost of viscosupplements will continue to limit their uptake, particularly in low- and middle-income countries, and may deter patients from completing the full course of treatment.
Opportunities
- Expansion of Indications for Viscosupplementation
- Emerging Markets and Untapped Patient Populations
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Development of Next-Generation Viscosupplements - Manufacturers are investing in advanced formulations that enhance the viscoelastic properties of hyaluronic acid, improve biocompatibility, and offer longer-lasting relief from joint pain. These innovations aim to improve clinical outcomes and reduce the frequency of injections.
New delivery mechanisms such as cross-linked HA, combination therapies with anti-inflammatory agents, and sustained-release systems are under active development. These improvements not only offer better pain relief but also address concerns related to treatment durability and injection-site discomfort. Such advances are expected to attract both physicians and patients toward viscosupplementation as a preferred intervention.
In addition, the use of biotechnology and personalized medicine approaches is opening new frontiers. Customized viscosupplements based on patient-specific joint conditions and biomarker analysis could potentially deliver more targeted and effective treatment, improving both efficacy and patient compliance.
These technological developments, combined with increasing support for clinical trials and regulatory approvals, are expected to transform the market. Companies that can offer innovative, evidence-backed, and cost-effective next-generation viscosupplements will likely gain a competitive advantage in the evolving therapeutic landscape.
Viscosupplementation Market Competitive Landscape Analysis
Viscosupplementation Market is witnessing heightened competition as leading players refine their strategies to strengthen presence across diverse healthcare settings. Companies are pursuing collaboration and merger activities to diversify product portfolios and increase procedural adoption. Continuous innovation in formulations and delivery techniques is reshaping patient outcomes, fostering measurable growth across orthopedic and pain management segments.
Market Structure and Concentration
The industry exhibits moderate to high concentration with a few dominant manufacturers holding significant market share. Strategic partnerships and selective acquisitions help maintain competitive leverage. Mid-sized companies are actively expanding niche offerings to challenge established players, while larger corporations focus on advancing technological advancements to differentiate viscosupplementation solutions.
Brand and Channel Strategies
Key brands emphasize strong physician engagement and patient-centric marketing strategies to increase therapy awareness. Distribution models are evolving through specialized clinics and e-commerce integration, enabling faster access to products. Strengthening partnerships with healthcare providers and enhancing after-sales support are vital to sustaining growth and building brand loyalty across targeted regions.
Innovation Drivers and Technological Advancements
Research-backed innovation is shaping the next generation of viscosupplementation treatments. Enhanced technological advancements in hyaluronic acid production and single-injection delivery systems are improving safety and patient convenience. Collaborative R&D efforts between pharmaceutical firms and medical device developers accelerate growth by offering more effective and longer-lasting joint relief therapies.
Regional Momentum and Expansion
Market leaders are strategically targeting high-demand regions with increasing awareness of joint health. Aggressive expansion through local partnerships, tailored marketing, and regulatory alignment is improving access. Rising procedural adoption rates in emerging economies contribute to competitive growth, while established markets focus on upgrading product lines to retain clinical preference and patient trust.
Future Outlook
The competitive environment will intensify as companies invest in breakthrough technological advancements and patient-friendly therapies. Strategic partnerships and focused innovation will drive differentiation, while expansion into new therapeutic applications promises sustained growth. Firms leveraging strong brand strategies and adaptive distribution networks are expected to lead in shaping the market’s long-term evolution.
\Key players in Viscosupplementation Market include:
- Sanofi (Genzyme)
- Seikagaku Corporation
- Ferring Pharmaceuticals
- Zimmer Biomet
- Bioventus LLC
- Fidia Farmaceutici S.p.A.
- Smith & Nephew
- Chugai Pharmaceutical Co., Ltd.
- Anika Therapeutics, Inc.
- LG Chem
- Hyaltech Ltd.
- Allergan (AbbVie)
- Teva Pharmaceutical Industries Ltd.
- Shandong Freda Biochem Co., Ltd.
- Shanghai Jingfeng Pharmaceutical Co., Ltd.
In this report, the profile of each market player provides following information:
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Market Share Analysis
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Type
- Market Snapshot, By Source
- Market Snapshot, By Application
- Market Snapshot, By End-User
- Market Snapshot, By Region
- Viscosupplementation Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
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Growing geriatric population worldwide
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Advancements in Viscosupplement Formulations
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Increasing Preference for Minimally Invasive Treatment Options
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Restraints
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Limited Reimbursement Coverage
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Reimbursement limitations in some regions
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High Cost of Viscosupplement Products
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- Opportunities
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Expansion of Indications for Viscosupplementation
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Emerging Markets and Untapped Patient Populations
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Development of Next-Generation Viscosupplements
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- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Viscosupplementation Market, By Type, 2021 - 2031 (USD Million)
- Single Injection
- Multi Injection
- Viscosupplementation Market, By Source, 2021 - 2031 (USD Million)
- Animal
- Non-Animal
- Viscosupplementation Market, By Application, 2021 - 2031 (USD Million)
- Knee Osteoarthritis
- Hip Osteoarthritis
- Others
- Viscosupplementation Market, By End-User, 2021 - 2031 (USD Million)
- Hospitals & ASCs
- Specialty Clinics
- Others
- Viscosupplementation Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Viscosupplementation Market, By Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Sanofi (Genzyme)
- Seikagaku Corporation
- Ferring Pharmaceuticals
- Zimmer Biomet
- Bioventus LLC
- Fidia Farmaceutici S.p.A.
- Smith & Nephew
- Chugai Pharmaceutical Co., Ltd.
- Anika Therapeutics, Inc.
- LG Chem
- Hyaltech Ltd.
- Allergan (AbbVie)
- Teva Pharmaceutical Industries Ltd.
- Shandong Freda Biochem Co., Ltd.
- Shanghai Jingfeng Pharmaceutical Co., Ltd.
- Company Profiles
- Analyst Views
- Future Outlook of the Market

